Organization
SHIRLEY'S CARE HOME INC
Active
Other names
Shirley's ICF DD H No 4
Organization subpart
Yes
Provider details
NPI number
Authorized official
MRS. SHIRLEY GAPASIN RN (CHIEF FINANCIAL OFFICER)
(209) 607-9380
Entity
Organization
Contact information
Practice address
9565 COLINGTON PL, STOCKTON, CA 95209-5013
(209) 952-6027
(209) 952-7825
Mailing address
9565 COLINGTON PL, STOCKTON, CA 95209-5013
(209) 952-6027
(209) 952-7825
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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